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Nursing Documentation Handbook
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Book Synopsis Nursing Documentation Handbook by : T. M. Marrelli
Download or read book Nursing Documentation Handbook written by T. M. Marrelli and published by . This book was released on 2000 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Guide to Clinical Documentation by : Debra Sullivan
Download or read book Guide to Clinical Documentation written by Debra Sullivan and published by F.A. Davis. This book was released on 2011-12-22 with total page 301 pages. Available in PDF, EPUB and Kindle. Book excerpt: Develop the skills you need to effectively and efficiently document patient care for children and adults in clinical and hospital settings. This handy guide uses sample notes, writing exercises, and EMR activities to make each concept crystal clear, including how to document history and physical exams and write SOAP notes and prescriptions.
Download or read book Nursing Know-how written by and published by Lippincott Williams & Wilkins. This book was released on 2009 with total page 424 pages. Available in PDF, EPUB and Kindle. Book excerpt: Provides information on documentation issues, including electronic medical records, legal and ethical implications, and documentation in acute cases, along with a variety of charting examples.
Book Synopsis Nursing Documentation Made Incredibly Easy by : Kate Stout
Download or read book Nursing Documentation Made Incredibly Easy written by Kate Stout and published by Lippincott Williams & Wilkins. This book was released on 2018-06-05 with total page 312 pages. Available in PDF, EPUB and Kindle. Book excerpt: Publisher's Note: Products purchased from 3rd Party sellers are not guaranteed by the Publisher for quality, authenticity, or access to any online entitlements included with the product. Feeling unsure about the ins and outs of charting? Grasp the essential basics, with the irreplaceable Nursing Documentation Made Incredibly Easy!®, 5th Edition. Packed with colorful images and clear-as-day guidance, this friendly reference guides you through meeting documentation requirements, working with electronic medical records systems, complying with legal requirements, following care planning guidelines, and more. Whether you are a nursing student or a new or experienced nurse, this on-the-spot study and clinical guide is your ticket to ensuring your charting is timely, accurate, and watertight. Let the experts walk you through up-to-date best practices for nursing documentation, with: NEW and updated, fully illustrated content in quick-read, bulleted format NEWdiscussion of the necessary documentation process outside of charting—informed consent, advanced directives, medication reconciliation Easy-to-retain guidance on using the electronic medical records / electronic health records (EMR/EHR) documentation systems, and required charting and documentation practices Easy-to-read, easy-to-remember content that provides helpful charting examples demonstrating what to document in different patient situations, while addressing the different styles of charting Outlines the Do's and Don’ts of charting – a common sense approach that addresses a wide range of topics, including: Documentation and the nursing process—assessment, nursing diagnosis, planning care/outcomes, implementation, evaluation Documenting the patient’s health history and physical examination The Joint Commission standards for assessment Patient rights and safety Care plan guidelines Enhancing documentation Avoiding legal problems Documenting procedures Documentation practices in a variety of settings—acute care, home healthcare, and long-term care Documenting special situations—release of patient information after death, nonreleasable information, searching for contraband, documenting inappropriate behavior Special features include: Just the facts – a quick summary of each chapter’s content Advice from the experts – seasoned input on vital charting skills, such as interviewing the patient, writing outcome standards, creating top-notch care plans “Nurse Joy” and “Jake” – expert insights on the nursing process and problem-solving That’s a wrap! – a review of the topics covered in that chapter About the Clinical Editor Kate Stout, RN, MSN, is a Post Anesthesia Care Staff Nurse at Dosher Memorial Hospital in Southport, North Carolina.
Download or read book Chart Smart written by and published by Springhouse Corporation. This book was released on 2011 with total page 516 pages. Available in PDF, EPUB and Kindle. Book excerpt: Chart Smart: the A-to-Z Guide to Better Nursing Documentation tells nurses exactly what to document in virtually every type of situation they may encounter on the job, no matter where they practice--hospital, medical office, outpatient, rehabilitation facility, long-term care facility, or home. This portable handbook has nearly 300 entries that cover documentation required for common diseases, major emergencies, complex procedures, and difficult situations involving patients, families, other health care team members, and supervisors. In addition to patient care, this book also covers documenta
Book Synopsis Nursing Documentation Handbook by : Tina M. Marrelli
Download or read book Nursing Documentation Handbook written by Tina M. Marrelli and published by . This book was released on 1992 with total page 300 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book DocuNotes written by Cherie Rebar and published by F.A. Davis. This book was released on 2009-04-10 with total page 203 pages. Available in PDF, EPUB and Kindle. Book excerpt: The perfect guide to charting! The popular Davis’s Notes format makes sure that you always have the information you need close at hand to ensure your documentation is not only complete and thorough, but also meets the highest ethical and legal standards. You’ll even find coverage of the nuances that are relevant to various specialties, including pediatric, OB/GYN, psychiatric, and outpatient nursing.
Book Synopsis Nurse's Legal Handbook by : Kathy Ferrell
Download or read book Nurse's Legal Handbook written by Kathy Ferrell and published by Lippincott Williams & Wilkins. This book was released on 2015-08-31 with total page 459 pages. Available in PDF, EPUB and Kindle. Book excerpt: An authoritative guide to the legal and ethical issues faced daily by nurses, this handbook includes real-life examples and information from hundreds of court cases. It covers the full range of contemporary concerns, including computer documentation, workplace violence and harassment, needlesticks, telephone triage, pain management, prescribing, privacy, and confidentiality. An entire chapter explains step-by-step what to expect in a malpractice lawsuit.
Book Synopsis Nursing Documentation Handbook by : T. M. Marrelli
Download or read book Nursing Documentation Handbook written by T. M. Marrelli and published by Mosby Elsevier Health Science. This book was released on 1992 with total page 300 pages. Available in PDF, EPUB and Kindle. Book excerpt: This practical guide to 50 frequently encountered problems, their diagnosis and management, includes documentation which will fulfill legal, quality assurance and reimbursement requirements. Alphabetically organized, the book helps identify interventions, data, and outcomes appropriate for specific patients.
Author :Patricia A. Duclos-Miller Publisher :Hcpro, a Division of Simplify Compliance ISBN 13 :9781601460356 Total Pages :0 pages Book Rating :4.4/5 (63 download)
Book Synopsis Nursing Documentation by : Patricia A. Duclos-Miller
Download or read book Nursing Documentation written by Patricia A. Duclos-Miller and published by Hcpro, a Division of Simplify Compliance. This book was released on 2007 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Written specifically for staff nurses, this easy-to-read and affordable resource helps nurses understand the value of good documentation, and the consequences of not documenting accurately and in a timely fashion. The handbook's case studies illustrate the legal threat nurses face from improper documentation, while the quick tips help them avoid common charting errors and improve their charting skills. Sold in packs of 25, the handbook includes a short post-test and certificate of completion, allowing nurses to evaluate their documentation understanding.
Book Synopsis Handbook of Psychiatric Nursing by : Gail Wiscarz Stuart
Download or read book Handbook of Psychiatric Nursing written by Gail Wiscarz Stuart and published by Mosby. This book was released on 2005 with total page 484 pages. Available in PDF, EPUB and Kindle. Book excerpt: Based on: Principles and practice of psychiatric nursing. 8th ed. c2005.
Book Synopsis Handbook of Home Health Standards and Documentation Guidelines for Reimbursement by : T. M. Marrelli
Download or read book Handbook of Home Health Standards and Documentation Guidelines for Reimbursement written by T. M. Marrelli and published by . This book was released on 1998 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: In addition, with the updated HCFA home health agency manual coverage as well as coverage and documentation guidelines, forms may be completed with knowledge of the latest Medicare rules. Best of all, the OASIS-B form, which is hot off the press, is included in its entirety!
Author :Lippincott Williams & Wilkins Publisher :Lippincott Williams & Wilkins ISBN 13 :9781582555560 Total Pages :454 pages Book Rating :4.5/5 (555 download)
Book Synopsis Complete Guide to Documentation by : Lippincott Williams & Wilkins
Download or read book Complete Guide to Documentation written by Lippincott Williams & Wilkins and published by Lippincott Williams & Wilkins. This book was released on 2008 with total page 454 pages. Available in PDF, EPUB and Kindle. Book excerpt: Thoroughly updated for its Second Edition, this comprehensive reference provides clear, practical guidelines on documenting patient care in all nursing practice settings, the leading clinical specialties, and current documentation systems. This edition features greatly expanded coverage of computerized charting and electronic medical records (EMRs), complete guidelines for documenting JCAHO safety goals, and new information on charting pain management. Hundreds of filled-in sample forms show specific content and wording. Icons highlight tips and timesavers, critical case law and legal safeguards, and advice for special situations. Appendices include NANDA taxonomy, JCAHO documentation standards, and documenting outcomes and interventions for key nursing diagnoses.
Book Synopsis Fast Facts for the Long-Term Care Nurse by : Charlotte Eliopoulos
Download or read book Fast Facts for the Long-Term Care Nurse written by Charlotte Eliopoulos and published by Springer Publishing Company. This book was released on 2015-04 with total page 295 pages. Available in PDF, EPUB and Kindle. Book excerpt: Print+CourseSmart
Book Synopsis Nursing Diagnosis Manual by : Marilynn E. Doenges
Download or read book Nursing Diagnosis Manual written by Marilynn E. Doenges and published by F. A. Davis Company. This book was released on 2008 with total page 994 pages. Available in PDF, EPUB and Kindle. Book excerpt: You can rely on this complete reference to identify interventions commonly associated with specific nursing diagnoses across the client's life span, and to help plan, individualize, and document client care. Using the standard nursing language of NANDA, NIC, and NOC, this manual's listing of diagnoses follows NANDA's own sequencing - alphabetized by key term; prioritizes interventions; and covers almost 900 disorders and health conditions with associated diagnoses.It covers: the newest diagnoses by NANDA; more diagnoses and almost 100 disorders and conditions; all diagnosis listings follow NANDA's own sequencing; outcomes that include Client Will (Include Specific Time Frame) statements in Nursing documentation focus provided at the end of every diagnosis; Spotlights Concept Mapping for creating and documenting care to enhance critical thinking skills when planning client care; and, interventions that are prioritized, with helpful icons indicating specialized interventions. It features a free Pocket Minder with a complete listing of nursing diagnoses, with page references to the book.
Book Synopsis Document Smart by : Theresa Capriotti
Download or read book Document Smart written by Theresa Capriotti and published by Lippincott Williams & Wilkins. This book was released on 2019-06-26 with total page 499 pages. Available in PDF, EPUB and Kindle. Book excerpt: Feeling unsure about documenting patient care? Learn to document with skill and ease, with the freshly updated Document Smart, 4th Edition. This unique, easy-to-use resource is a must-have for every student and new nurse, offering more than 300 alpha-organized topics that demonstrate the latest nursing, medical and government best practices for documenting a wide variety of patient conditions and scenarios. Whether you are assessing data, creating effective patient goals, choosing optimal interventions or evaluating treatment, this is your road map to documentation confidence and clarity.
Book Synopsis Mosby's Surefire Documentation by : Mosby
Download or read book Mosby's Surefire Documentation written by Mosby and published by Mosby. This book was released on 2006 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Offering clear, practical guidelines for how, what, and when to document for more than 100 of the most common and most important situations nurses face, this essential resource details exactly what information to consider and document, to ensure quality patient care, continuity of care, and legal protection for the nurse and the institution where the nurse works.